The Springs of Brinkley

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

32.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 25 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 116 beds and averages 48.7 residents a day — about 42% occupied, or roughly 67 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.29 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.92 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.79 hrs/resident/day on weekends vs 4.50 on weekdays — 16% thinner on weekends. RN hours go from 0.63 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-02-23 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview, and video review, the facility failed to ensure effective care planned interventions were created and implemented following new on-set of wandering and/or elopement associated behaviors, in which Resident #1 attempted on multiple occasions to exit the facility and voiced intent to exit the facility in the future. At the time of the survey, there were 8 residents in the secured unit at risk of eloping. It was determined the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.10(c)(3) (Comprehensive Care Plans) at a scope and severity of J. The IJ began 01/13/2026 at 6:03 AM, when Resident #1 voiced intent to leave the facility by exiting out of the window. There were no interventions put in place to address exit seeking behaviors. The Administrator and Director of Nursing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-07-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and facility policy review, it was determined that the facility failed to prevent resident to resident abuse for two (Resident #1 and Resident #3) of four residents reviewed for abuse. The findings include: Resident #1: A review of Resident #1’s admission Record indicated the facility admitted the resident on 07/25/2024, with diagnoses which included metabolic encephalopathy (brain dysfunction) and Parkinson’s disease, with dyskinesia (involuntary muscle movements). A review of Resident #1’s quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/19/2025, revealed a Brief Interview for Mental Status (BIMS) score of 05, which indicated the resident had severe cognitive impairment. The MDS also revealed Resident #1 required substantial/maximal assistance when using a manual wheelchair. A review of Resident #1’s Care Plan, revised on 05/28/2025, indicated the resident was at risk for wandering. Further review of Resident #1’s Care Plan indicated the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-03-19 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure Resident # 54's representative was promptly notified of a fall, for one (Resident #54) out of one resident reviewed for notification of change. Specifically, Resident #54 had an unwitnessed fall on 12/03/2025. Based on record review and interview, the facility failed to ensure a resident's representative was promptly notified of a fall, for one (Resident #54) of one resident reviewed for notification of change in condition. The findings include: Review of Resident #54's admission Record revealed the facility admitted the resident with diagnoses that included intervertebral disc degeneration, bilateral primary osteoarthritis of knee, age related physical debility, and repeated falls. The admission Record indicated that Resident #54's child was their Power of Attorney (POA) for care, as well as being their responsible party and emergency contact. Review of Resident #54's quarterly Minimum Data Set with an Assessment Reference Date of 11/17/2025, revealed a Brief Interview for Mental Status score of 10, which indicated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure increased supervision was provided by staff during periods of increased exit seeking behaviors for one (Resident #1) of four sampled residents reviewed for elopement. The lack of effective supervision resulted in Resident #1 eloping from the facility, and the facility staff being unaware of the residents' whereabouts. At the time of the survey, there were eight residents residing on the locked unit. The findings are: A review of an admission Record revealed Resident #1 was admitted on [DATE] and readmitted on [DATE] with diagnoses of traumatic brain injury, cerebral infarction, and altered mental status. The quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/02/2026 revealed Resident #1 had a Brief Interview of Mental Status (BIMS) score of 12, which indicated the resident was cognitively intact. The MDS also included that Resident #1 was independent with ambulation. A review of a BIMS dated 02/19/2026…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2025-02-04 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the facility failed to ensure Enhanced Barrier Precautions (EBP) were implemented and hand hygiene was performed to prevent the possible spread of infection for 1 (Resident #5) of 1 resident sampled for infection prevention and control. The findings are: Per a Centers for Medicare and Medicaid Services (CMS) memorandum titled, Enhanced Barrier Precautions in Nursing Homes and dated 03/20/2024, EBP refers to an infection control intervention designed to reduce the transmission of multidrug-resistant organisms (MDRO) that employs targeted gown and glove use during high contact resident care activities. It stipulated EBP are indicated for residents with wounds and/or indwelling medical devices, even if the resident is not known to be infected or colonized with an MDRO and indicated EBP be employed when performing high-contact resident care activities, including wound care: any skin opening requiring a dressing. Review of Resident #5's diagnosis sheet indicated diagnoses of pressure ulcer of unspecified heel and skin…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-15 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and facility policy reviews, it was determined the facility failed to repair or replace a leaking water heater in a timely manner for 2 sampled (Resident #31, Resident #39) capable of ambulation or self-propelling on North Hall to ensure a sanitary, orderly, and comfortable interior. The findings are: a. On 08/12/24 at 10:28 AM, wet linens and water extending beyond a yellow caution sign were observed resting on the floor outside the soiled linen and equipment room on the North Hall. b. On 08/12/24 at 10:29 AM, during an interview the Floor Tech stated the hot water heater had been leaking a couple of weeks on North Hall and Housekeeping #3 stated the hot water heater had been leaking for many weeks. c. On 08/13/24 at 9:25 AM, a review of the maintenance log hanging up outside the Administrators office did not show documentation of a leaking hot water heater. d. On 08/13/2024 at 4:00 PM, the Maintenance Director stated the leaking hot water heater should have been documented on paper a long time ago. e. On 08/14/24 at 10:30 AM, during…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-15 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and facility policy review, it was determined the facility failed to ensure care plans were revised to reflect the changing needs and preferences for 2 (Residents #11 and #35) of 20 (Residents #1, #4, #8, #11, #12 , #13, #14, #17, #19, #20, #21, #31, #32, #34, #35, #38, #39, #42, #49 and #53) sampled residents reviewed for care plan revisions. The findings include: 1. Review of the Medical Diagnosis, revealed Resident #11 had diagnoses of stroke, chronic obstructive respiratory failure, and acute respiratory failure. a. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/25/2024 suggested a Brief Interview for Mental Status score of 9 (8-12 indicates moderately impaired). Section K0529 indicates the resident had a feeding tube on admission and while a resident. b. Review of Resident #11's Physician Orders, dated 05/23/2024, revealed continuous [diabetic tube feeding formula] 1.2 calorie at 65 cubic centimeters per hour. c. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure the North Hall was free of water and wet linens affecting 2 (Resident #31 and #39) sampled residents when ambulating in the hallway to prevent falls, and accidents; failed to ensure the North Hall shower door tub room was locked to prevent residents from having access to open razors, and to prevent falls on wet, soapy floors; failed to ensure the tub room on the North Hall, being used to store portable oxygen tanks, was kept locked to prevent resident accidents or injuries failed to ensure 1 smoker requiring supervision (Resident #39) of 1 sampled (Resident #39) was not smoking without supervision to prevent accidents or injuries; failed to ensure the 200 Hallway was free of missing tile with an uneven surface to prevent accidents and injury; and failed to ensure an aerosol can of a name brand insect spray was not stored in a resident's room for 1 (Resident #53) of 1 sampled resident. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure manufacture's guidelines found on the container were followed to prevent the potential for food spoilage and / or growth of bacteria, foods were stored properly after being opened and dietary staff washed their hands and changed gloves during the meal preparation to decrease the potential for food borne illnesses for residents who received meals from 1 of 1 kitchen. This had the potential to affect 49 residents (Census: 51), as indicated on a list provided by the District Dietary Manager on 08/15/2024. The findings are: On 08/12/2024 at 11:07 AM, initial rounds were conducted in the kitchen and the following observations were made: 1. The Storage Room: a. There was a 32-ounce (oz.) bottle of [brand name] Lemon Juice Concentrate with an opened dated of 7/22/2024, observed on the shelf. There was about a fourth of the liquid left in the bottle. It was not cold and there was no condensation on the bottle. The label on the bottle indicated refrigerate after opening. b. There was a plastic bin observed on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-15 · tag F0569 — isolated
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interviews, record review, and facility policy review, the facility failed to ensure residents personal funds were returned within 30 days of death for 1 (Resident #207) of 3 sampled (Residents #207, #14, #6) sampled residents. The findings are: On 8/13/2024 at 11:20 AM, upon review of the facility, Progress Notes, Resident #207 passed away on 3/15/2024, and upon review of facility financial records continues to show an active balance on the account of $94.08. On 8/14/2024 at 2:07 PM, interviewed Business Office Manager regarding the resident continuing to have a positive balance of $94.08 five months following death of resident. She stated, I was waiting on the corporate office to advise me of whether or not to return the money in the account to the residents' family because the resident had an outstanding balance owed to the facility. Review of a facility policy titled, Management of Residents' Personal Funds, dated/revised March 2021, stated the facility they manage the resident's funds in accordance with federal/state requirements.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-15 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and facility policy review, it was determined the facility failed to provide a bed hold notice prior to discharge for 1 (Resident #11) of 2 sampled residents (Resident #11 and Resident #54) who were discharged or transferred to the hospital. The findings include: a. On 08/14/24 at 11:08 AM, the Business Office Manager (BOM) was asked to look at the last two bed holds for Resident #11. The BOM confirmed Resident #11 did not get a bed hold because the resident was not cognitive, his family member cannot be reached, and she was newly hired 11/2023 and did not know it was her job to get a bed hold. b. On 08/14/2024 at 11:15 AM, the BOM was asked why bed holds were given to residents. The BOM stated she did not know, and thought it was a Medicare/Medicaid requirement to ensure the safe transfer of residents. c. On 08/14/24 at 11:30 AM, the Administrator revealed the facility has an action plan for bed holds and was asked to provide the documentation. d. On 08/14/24 at 2:00 PM, the Administrator provided an action plan, dated 07/31/2024,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-15 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and facility policy review, it was determined the facility failed to ensure a comprehensive care plan was provided for 1 (Resident #11) of 20 (Residents #1, #4, #8, #11, #12, #13, #14, #17, #19, #20, #21, #31, #32, #34, #35, #38, #39, #42, #49, #53) sampled residents requiring a comprehensive care plan to ensure residents receive appropriate care. The findings include: 1. Review of the Medical Diagnosis revealed Resident #11 had diagnoses of stroke, chronic obstructive respiratory failure, and acute respiratory failure. a. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/25/2024 suggested a Brief Interview for Mental Status score of 9 (8-12 indicates moderately cognitively impaired). Section I6300 indicated the resident had respiratory failure, Section O0110 indicated the resident was on oxygen on admission, and while a resident, and had a tracheostomy on admission and while a resident. b. On 08/14/2024 at 12:25 PM, the MDS Nurse was asked about measurable interventions on Resident #11's care plan for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$17,515 in federal fines across 2 penalties.

• $9,113 — penalty dated 2026-02-23
• $8,402 — penalty dated 2025-07-17

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to THE SPRINGS ARKANSAS — 26 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 30% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR